Directorate General of Health Services Punjab has issued the official Notification letter on 17th March, 2020 in connection with suspect, probable & conformed strict compliance of criteria for case definitions.
With reference to subject cited above. It is directed that please follow the definitions for suspect, probable and confirmed cases as given below:
A). Suspect: A patient with acute respiratory illness (fever and at least one sign/symptom of respiratory disease (e.g., cough, shortness of breath), and with no other etiology that fully explains the clinical presentation and a history of travel to or residence in a country/area or territory reporting local transmission (See situation report) of COVID-19 disease during the 14 days prior to symptom onset.
B). A patient with any acute respiratory illness and having been in contact with a confirmed of probable COVID-19 case (see definition of contact in the last 4 days prior to onset of symptoms;
C). A patient with severe acute respiratory infection (lever and atleast sign/symptom of respiratory disease (e.g cough, shortness breath) and requiring hospitalization and with no other etiology that fully explains the clinical presentation.
D). Any person died of having signs and symptoms of COVID-19 illness in the area with ongoing transmission of infection OR having definitive epidemiological link with a probable or confirmed CO/ID-19 patient.
Probable Case: A suspect case for whom testing for COVID-19 is inconclusive.
Confirmed Case: A person with laboratory confirmation of COVID-19 infection, irrespective of clinical signs and symptoms.
Hence, a person recommended far COVID-19 testing should be a suspect case. In case any patient does not meet the criteria stated in 4 category of suspect definitions and insist for COVID-19 testing, would be guided to undergo private testing. Matter should be considered for strict compliance.